AMBER PRESTON BUTLER, FNP - NPI NUMBER 1083046791

Summary

Provider Name: AMBER PRESTON BUTLER, FNP

NPI Number: 1083046791

Clasification: Nurse Practitioner (363LF0000X)

Specialization: Family

Organization: EAST TENNESSEE BRAIN & SPINE CENTER, PC

Address:
701 MED TECH PKWY
SUITE 300
JOHNSON CITY, TN
ZIP 37604

Phone Number: (423) 232-8301



Detailed Information

Amber Preston Butler, FNP is a family nurse practitioner in Johnson City, TN with 2 years of experience. The assigned NPI number for this provider is 1083046791 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business address is:

701 MED TECH PKWY
SUITE 300
JOHNSON CITY, TN
ZIP 37604-365
Phone: (423) 232-8301
Fax: (423) 232-8304

The enumeration date for this NPI number is 8/5/2013 and was last updated on 8/13/2013.

Map - Location of Practice

Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 363LF0000X Nurse Practitioner Family 17843 TN Yes

NPI Record

No. Field Name Field Value Field Definition 1
1 NPI 1083046791 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
2 Entity Type Code 1 Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
3 Provider Last Name Legal Name BUTLER The last name of the provider. If the provider is an individual, this is the legal name.
4 Provider First Name AMBER The first name of the provider, if the provider is an individual.
5 Provider Middle Name PRESTON The middle name of the provider, if the provider is an individual.
6 Provider Credential Text FNP The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
7 Provider First Line Business Practice Location Address 701 MED TECH PKWY The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
8 Provider Second Line Business Practice Location Address SUITE 300 The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
9 Provider Business Practice Location Address City Name JOHNSON CITY The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
10 Provider Business Practice Location Address State Name TN The State code in the location of the provider being identified.
11 Provider Business Practice Location Address Postal Code 376042365 The State code in the location of the provider being identified.
12 Provider Business Practice Location Address Country Code If outside U S US The country code in the location address of the provider being identified.
13 Provider Business Practice Location Address Telephone Number 4232328301 The country code in the location address of the provider being identified.
14 Provider Business Practice Location Address Fax Number 4232328304 The fax number associated with the location address of the provider being identified.
15 Provider Enumeration Date 8/5/2013 The fax number associated with the location address of the provider being identified.
16 Last Update Date 8/13/2013 The date that a record was last updated or changed.
17 Provider Gender Code F The date that a record was last updated or changed.
18 Healthcare Provider Taxonomy Code 1 363LF0000X Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
19 Provider License Number 1 17843 Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
20 Provider License Number State Code 1 TN The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
21 Healthcare Provider Primary Taxonomy Switch 1 Y The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
22 Is Sole Proprietor N Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No

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This page was last updated on: 4/19/2015

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

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